Chrysalis House, Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

LC0225 Issued in MD

Legal business name

CHRYSALIS HOUSE, INC

Practice address

1570 Crownsville Rd
Crownsville, MD 21032-2306

Phone

(410) 974-6829

NPI assigned

Jul 30, 2013

Last updated

Jul 30, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lorene Lake

Title

Executive Director

Phone

(410) 974-6829

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1447682646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 CROWNSVILLE RD",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210322306",
            "telephone_number": "410-974-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 CROWNSVILLE RD",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210322306",
            "telephone_number": "410-974-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS HOUSE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "LORENE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-974-6829",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MD",
            "license": "LC0225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chrysalis House Inc
• Chrysalis House, Inc.
• Community After Birth
• Comprehensive Rehab Consultants PLLC
• William Michael Copeland, MS, RN, CRNP, CEN
• Crownsville Foot and Ankle Center LLC

• Substance Abuse Rehabilitation Facility in Crownsville, MD
• Providers in Crownsville, MD by specialty
• Substance Abuse Rehabilitation Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.